1981, 04-29 Permit: 81A-4072 Heat PumpPLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
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SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
1
d 4* * 1 4.00
JOB ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
* 1 C+ Pi d
LOT BLOCK PARCEL NUMBER/S
ISUBDIVISION
I
* 1 4,Od�
2.
OWNER PHONE
A Q d 0 3)
IF'
3 ADD ESS ZIP Actual Set Backs in Feet
4 0 7, 4
V Q ,? D North South East West
04-29-81
CONTRACTOR PHONE Size of Parcel Zone Classification
6.479.
4' AD DRQSS ZIP Type Const. Occupancy Sprinklered
0 ~ 12, p ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5'
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
_
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE El NEW 1-1 ALT. El AD'N. El RPL. ❑ MVE.
7, OF ❑ OTHER
El BLD. ❑ PLMB. El M.H.El ❑POOL CERTIFICATE Req'd. Recd. Not Req'd.
WORK 19
of EXEMPTION
DE CRIBE WORK Enum. Dist. Location (Area)
FEES COLLECTED
8
LUA O SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9, UTILITIES Public ❑Private ❑
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
_
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
SIGNATURE OF APPLICANT Mech.
DATE OF APPLICATION `f7��
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
\ - omg - ec� igian
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify) -
TOTAL $ A,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 ,4- * 2l'Q 84 40
'7,12
DATE ISSUED PERMIT NO.
*'1A000j
TOTAL
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